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Rosh Review| 222 QUESTIONS| WITH COMPLETE SOLUTIONS

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What is the next step for a trauma patient with abdominal pain after they receive a FAST scan? Correct Answer: Stable patient + positive FAST --> CT Unstable patient + negative FAST --> repeat FAST ... or DPL Unstable patient + positive FAST --> laparotomy Antidote to organophosphate poisoning Correct Answer: Pralidoxime (PAM-2) Atropine, titrate to drying of bronchial secretion (First step is decontamination of patient) Antidote to beta blocker toxicity Correct Answer: Glucagon + Insulin Pulsus alternans Correct Answer: Regular rhythm, but force of pulse alternates between weak and strong beats - Sign of heart failure Which physical exam finding has the best combination of sensitivity, specificity, positive predictive value, and negative predictive value in heart failure with reduced ejection fraction? Correct Answer: Displaced apical impulse Cushing Reflex Correct Answer: Increased intracranial pressure or cerebral herniation - Hypertension - Bradycardia - Diminished respiratory effort What is the initial treatment of choice for BPPV? Correct Answer: Epley Maneuver - Expels the otolith from the semicircular canal (MC posterior) Vitamin B1 deficiency is associated with: Correct Answer: - Wet Beriberi (high output heart failure) - Wernicke Encephalopathy ---> AMS, Ataxia, Ocular motor dysfx - Korsakoff Syndrome ---> Permanent memory and learning dysfunction Nursemaid's Elbow is caused by... Treatment is... Correct Answer: slippage of the head of the radius under the annular ligament (subluxation of the annular ligament) Treatment is manual reduction: - Supination + Flexion or hyperpronation [Show More]

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